NPI | 1336540418 |
---|---|
Former Name | ANDREA RUTH BUCHBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 5987) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5987) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5987) | |
Enumeration Date | 2014-09-09 |
Last Update Date | 2024-08-05 |